Home / Owners / Medina County Hospital District
Nursing homes owned by Medina County Hospital District
The CMS ownership file lists Medina County Hospital District with an ownership interest in 6 certified nursing homes with 830 beds in Texas (6).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists Medina County Hospital District as a direct owner of 6 homes. Its earliest ownership association date on file is June 1, 2014, the latest May 1, 2025.
Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups homes on this list into the chains Wellsential Health (2), Caring Healthcare Group (1) and Caraday Healthcare (1).
The homes' record in brief
6 of the 6 homes have a CMS overall rating, averaging 1.8 stars against a national average of 3. 3 are for profit, 1 nonprofit, 2 government run; 6 are certified for Medicaid.
Across the inspections on file the homes carry 242 health citations; 18 citations were rated actual harm or immediate jeopardy, 18 immediate jeopardy. At their latest standard inspections they averaged 7.7 health deficiencies (national 9.2).
5 homes were fined in the last three years, $477,702 across 10 fines. Average nursing staff turnover was 52.6% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.12 | 3.75 |
| Registered nurses | 0.38 | 0.62 |
| Weekdays | 3.27 | 3.92 |
| Weekends | 2.76 | 3.33 |
| Share of nursing hours by contract staff | 2.5% | 5.3% |
Daily payroll records of 6 homes, summed. Weekends ran 16% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Cibolo Creek | Boerne | TX | Direct owner (5% or more), since May 2021 | 100% | 2 | 26 | $13,627 |
| Town and Country Nursing and Rehabilitation Center | Boerne | TX | Direct owner (5% or more), since June 2014 | 100% | 1 | 51 | $150,922 |
| Medina Valley Health & Rehabilitation Center | Castroville | TX | Direct owner (5% or more), since August 2014 | 100% | 3 | 36 | |
| Las Colinas of Westover | San Antonio | TX | Direct owner (5% or more), since March 2017 | 100% | 2 | 39 | $38,630 |
| Guadalupe Valley Nursing and Rehabilitation Center | Seguin | TX | Additional disclosable party; Direct owner (5% or more), since June 2014 | 100% | 2 | 52 | $75,450 |
| Windcrest Nursing and Rehabilitation | Windcrest | TX | Direct owner (5% or more), since May 2025 | 100% | 1 | 38 | $199,073 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.